eEase Forward
Free Ease Forward resource

A burnout self-check worksheet for low-energy weeks.

Many burnout quizzes turn a low-energy week into another score to interpret. This page keeps the check-in plain: what is draining you, what pressure signal keeps repeating, what support is missing, and what can be made smaller today. It is not a diagnosis or treatment plan. It is a short self-reflection worksheet for deciding whether the next step is rest, a boundary, a support ask, or a smaller version of the demand.

Gentle process

How to use it

Keep the page small. Write short answers. If a prompt feels too much, skip it and choose the next smallest step.

  1. Name the week without judging it.
  2. Circle the main drain: workload, caregiving, emotional labor, decisions, noise, conflict, or recovery debt.
  3. Write the pressure signal that keeps showing up in your body or schedule.
  4. Choose one demand to pause, reduce, delegate, delay, or ask for help with.
  5. If burnout is persistent, severe, or affecting safety, work, relationships, or health, consider qualified support.
Printable page

Copy, print, or save as PDF

Use your browser print command to save this worksheet as a PDF. The print stylesheet removes the navigation and keeps the worksheet clean.

A burnout self-check worksheet for low-energy weeks

The drain that feels loudest
The pressure signal I keep noticing
One support gap I can name
One demand I can make smaller

Closing sentence: I do not have to solve everything before I take one smaller next step.

Prompt bank

More prompts

FAQ

Quick answers

Is this a burnout assessment?

No. It is a self-check worksheet and does not diagnose burnout, depression, anxiety, or any medical condition.

Why no score?

A score can be useful in some settings, but this page is built for action. The goal is to name one drain and choose one smaller next step.

What if burnout feels serious?

If burnout is persistent, severe, or affecting safety, work, relationships, or health, consider talking with a licensed professional, doctor, trusted support person, or appropriate emergency service.

Safety and sources

Ease Forward resources are self-reflection tools, not therapy, counseling, diagnosis, treatment, or medical advice. If you are in immediate danger or crisis in the United States, call or text 988.

Useful references: NIMH anxiety disorders | NIMH caring for your mental health | 988 Suicide & Crisis Lifeline.

Pair this worksheet

Two gentle next steps if this page helped.

If this helped, open the no-login HTML toolkit next before choosing a longer journal.

These are self-reflection tools, not therapy, diagnosis, treatment, or medical advice. For crisis support in the United States, call or text 988.

Interactive HTML toolkit

Burnout Boundary Reset HTML Toolkit

A short offline browser tool for naming energy drains, choosing one smaller boundary or reduction, writing a support ask, and printing a reset plan. No app, no login, no account.

  • Works offline after you download it
  • Save your answers in your browser, or print a one-page plan
  • Built for low-energy weeks that need one smaller boundary
Paired PDF journal on Etsy

Burnout Recovery Journal

A 30-day PDF journal for low-energy weeks - useful when the worksheet identifies recovery, not more output, as the real next step.

  • Instant digital download on Etsy
  • No physical item is shipped
  • Pairs cleanly with the worksheet on this page